Sounds like your typical school boys love setting right? Except that this being a Nitro+ production means that the story is also infused with horror of the most potent kind. Filled to the brim with Primal Fear and Body Horror, all heightened with a brilliantly creepy soundtrack, this is definitely not a game for the faint-hearted.

Because You Were Nice to Me: Kitani's loyalty toward the Okinaga family began with Kunihito saving his life when he found Kitani trying to kill himself. Kunihito picked up him up and began strangling him to force his survival instinct to kick in, then invited him into the yakuza to at least throw his life away productively.

Bishonen Line: The Pure Breeds are meat monsters that have crossed it.

Blessed with Suck: The parasites give their hosts supernaturally fast regeneration, but... well, the cost is being infested with hideous parasites, and since you can still die of blood loss, a fatal wound will still kill you.

Body Horror: Constantly, to the point that this is more of a horror game than a romance game.

Cute Kitten: A stray cat keeps coming to Tetsuo's house after he fed it once.

Fate Worse Than Death: In Zenya's ending Youji gets captured and raped by Zenya. Timeskip a few weeks or months and Youji is still imprisoned in a dark room, treated as a sex pet, vomiting up almost everything he eats and wondering when he will die. Oh, and when he's finally too tired? Zenya plans to stuff him so that he'll stay by his side forever.Nitro+ doesn't do half-assed bad ends.

Gross Is Not Evil: Implied with the parasites. They're disgusting, sure, but all they're really trying to do is breed like any other animal. Onnushi-sama's flesh should have made Zenya an Osu if he willed it, but Zenya was a baby and incompatible with the parasites, and his father knew it; Kunihito's prayers go unanswered because he's blaming the object of his worship for something he did himself.

Happily Adopted: Deconstructed. Tetsuo was abandoned by his birth parents and then adopted by a family who physically abused him, to the point where it's implied that social services stepped in to relocate him; his new parents are good, hardworking people who love him as their own and he serves dutifully as their son, but he admits that his past convinced him he wasn't truly human long before he discovered he was right.

Mr. Seahorse: One of the first sign that Youji isn't completely normal is when he keeps giving birth to small living lumps of flesh.

Later on down the line, it's deconstructed, and then properly averted. Youji isn't pregnant as much as he is infested, being a host to the parasites that eventually mature into the seed meat he evacuates from his body, but when he and Tetsuo become a mated pair, they basically merge into a meat egg that hatches their offspring. It Makes Sense in Context.

Mood-Swinger: Zenya, and not in the good or humorous way. His mood can change from casual and bubbly to downright menacing and violent in the blink of an eye; you can even already hear it in the change in his tone alone.

Mood Whiplash: Not in the game but after finishing any one of the depressing and usually downright scary endings the website containing the development team's production notes is unlocked and amongst them, horrors of horrors, is a chibi picture of all the characters relaxing around a kotatsu, including Onnushi-sama note basically a giant slab of living meat covered in pulsating veins in a Santa suit.. Finishing all the endings will grant you a CG of the cast engaging in a pillow fight.

MrFanservice: Tetsuo. He got the biggest body and the toughest look. You can even see his body shape through his uniform. If it's not enough, he overpowered Zenya.

VLG: Zenya's ending. Youji gets captured and raped by Zenya. Timeskip a few weeks or months and Youji is still imprisoned in a dark room, treated as a sex pet, vomiting up almost everything he eats and wondering when he will die. Oh, and when he's finally too tired? Zenya plans to stuff him so that he'll stay by his side forever.

The Hunger: Makoto's ending. As a mesu, Youji’s body exhales a sweet, alluring scent in order to attract the osu around him. Even though Makoto is not an osu, he is sensitive to Youji’s scent, and it slowly drives him insane. In the end, he rapes and kills Youji, then begins eating his corpse. After running out of his friend’s meat, he starts to devour his own flesh.

Diving Deep: Tetsuo's first ending. Youji is about to tell Tetsuo his choice whether to surrender to the Sodomites and let them consume him, or to deny them and live as a human. Suddenly Kitani comes up, blames them for Zenya's death, and shoots both Youji and Tetsuo, killing them. Later, Kitani speaks with Kamiya about Zenya and Tetsuo's past.

The Red Road: Tetsuo's second ending. Youji decides to accept the Sodomites' will, and he and Tetsuo surrender themselves to them. Both die so the pure breed can be born. When Kitani arrives at Youji's house in order to avenge Zenya's death, he finds Youji and Tetsuo's child.

Miracles May - Violin Ver: Tetsuo's third ending. Youji decides he won’t accept the Sodomites, since “to live” as a human didn’t seem like a choice that could possibly be made. Kitani arrives and shoots Tetsuo and Youji, and the two fall off the roof and plunge into the pool. While falling, Youji remembers the car crash and why he lived on: his father was a meat monster host as well and sacrificed himself to save him. Youji decides that he wants to save Tetsuo the way his father saved him. A couple of years after, Tetsuo is alive and well and living with Youji, whose condition has worsened. Youji knows that he doesn’t have long to live, but doesn’t care, as being with Tetsuo these past few years has been the happiest time of his life.

Miracles May: Tetsuo's fourth ending. Same as the above, except that Tetsuo's memory was lost after the incident and vaguely remembers Youji, and Youji's fate is unknown. This is considered the true ending.

The Punishment: The parasites, more or less. The souls of the damned are stripped of their right to be made in God's own image — that is, to have human forms — which gives them a host of exciting new abilities that are just awful.

Red Eyes, Take Warning: Pure Breeds, the parasites' equivalent to a hive queen, have red eyes. They're also exceedingly rare, being the only type of meat monster that can assume a human form. Onnushi-sama was apparently one of them, and the danger they signify is the fact that they can control their pheromones at will to affect even normal humans, and their flesh can seed in humans without exploding them into gobbets of meat if they will it. Tetsuo and Youji's offspring is one. Zenya's also got one under the tumorous growth he hides, due to being force-fed Onnushi-sama's flesh under his eyepatch.

Sadistic Choice: Since this game has no happy endings every single choice you make basically just decides how Youji will meet his end.

Shown Their Work: At one point, the parasites are referred to as "myrmecoleon", ant-lions, referencing a mistranslated Hebrew word in the Septuagint version of the Old Testament. It's also something of an appropriately bizarre animal motif, as the mythical ant-lion is a creature that is half-lion and half-ant, doomed to starve to death because its opposing halves can't eat the same food. Youji's already well on his way to starving to death when the story starts because the parasites make him unable to eat.

Undying Loyalty: Kitani's loyalty to the Okinaga family is utterly unshakable, no matter what weird shit he has to cope with as Zenya's ersatz house-husband, and the story often points out that he'll endure anything for their sake. And then subverted in one of Tetsuo and Youji's endings. Kitani has nothing left but the need to avenge the Okinagas' deaths by killing them, but instead, he finds their child and is immediately overcome with a need to care for him.

Utsuge: The game is infamous for its dark-as-hell and sometimes downright depressing atmosphere, resulting in it being a major Tear Jerker for some players.

"Well Done, Son!" Guy: Zenya, although like most things in this game, it's not in the typical way, and he loathes his father regardless. He's a failed Osu, having been fed the flesh of Onnushi-sama as a baby rather than being born a host. Most of what he does to Youji, and his hatred of Tetsuo, is rooted in his desire to prove himself to his father and fix, or at least justify, the state of his own body.

Womb Level: The whole game is basically one since the interface has conspicuous amount of pulsating veins, along with distinctly organic sound effects.

Yakuza: Zenya's dad was a former yakuza boss and his underling Kitani was one as well.

Yandere: Makoto becomes one out of jealousy. He goes as far as threatening Youji with a knife, and in one ending rapes and cannibalizes him.

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